4. Responses to Requests for Disclosure, etc., and Procedures
The Company responds to requests for notification of the purposes of use, disclosure, amendment, addition, or deletion of retained personal information, and requests for suspension of use, erasure, suspension of provision to a third party, or disclosure of records of provision to third parties (hereinafter referred to as "disclosure requests, etc.") from the individual whose personal information has been retained by the Company or from his/her representative as follows.
1) Submission of requests
To make a disclosure request, etc., please download the "Request for Disclosure of Retained Personal Information, etc.", fill in all the prescribed items, enclose the documents needed for identification, and mail the request form and relevant documents to the address below (please note that requests other than by postal mail will not be accepted, and that the actual costs of postage, etc. will be borne by the individual).
- Mailing address:
- Pharma Business Strategy Division, Legal Department, Mitsubishi Tanabe Pharma Corporation
Doshomachi 3-2-10, Chuo-ku, Osaka 541-8505, Japan
If there is anything unclear in the documents you send the Company, the Company may call you at the telephone number you have entered in the "Request for Disclosure of Retained Personal Information, etc." form (or the telephone number given for the representative if the request is submitted by a representative) to confirm your identity.
2) Documents (forms), etc., to be submitted
To make a disclosure request, etc., please download I: "Request for Disclosure of Retained Personal Information, etc.", fill in all the prescribed items, and enclose it with II: "Documents to Verify the Identity of the Requestor (Principal)".
Request for Disclosure of Retained Personal Information, etc. [PDF: 126KB] (Japanese only)
Documents to verify the identity of the requestor (principal)
One copy of any of the following official documents: driver's license, passport, health insurance card, pension book, tax payment certificate, tax exemption certificate, or other official document
3) Disclosure request, etc., by representative
If the person making the disclosure request, etc., is a legal representative of a minor or an adult ward or a representative authorized by the principal to make the disclosure request, etc., the following documents (A or B) should be included in addition to Documents I ("Request for Disclosure of Retained Personal Information, etc.") and II ("Documents to Verify the Identity of the Requestor (Principal)") in 2) above.
- A: [Representative by power of attorney]
-
Power of attorney indicating representation: one (1) copy
Certificate of seal impression of the requestor (principal): one (1) copy
Documents to verify the identity of the representative
A copy of any one of the following: the agent's driver's license, passport, health insurance card, pension book, tax payment certificate, tax exemption certificate, or other official document
- B: [Legal representative]
-
One of the following documents to confirm that the applicant has legal representation
(a copy of the family register [in the case of a person with parental authority, a copy of an insurance card with dependents' names entered is acceptable] or a certificate of registered matters)Documents verifying that the requestor is a legal representative
A copy of any one of the following: the legal representative's driver's license, passport, health insurance card, pension book, tax payment certificate, tax exemption certificate, or other official document
4) Expenses
No fee will be charged for disclosure requests, etc. However, the actual costs of postage, etc. must be borne by the individual. Please enclose 500 yen's worth of postage stamps with the request form to cover the actual cost of sending a response by registered mail.
5) Response method
The Company will respond to your request by the method indicated in the "Method of Disclosure" section of the "Request for Disclosure of Retained Personal Information, etc." form. Please note that, depending on the information to be disclosed, the Company may not be able to meet your request.
6) "Purposes of use" of personal information obtained in connection with disclosure requests, etc.
Personal information obtained in connection with disclosure requests, etc., will be handled only to the extent necessary for the disclosure requests, etc.
Documents submitted will be stored for a stipulated period once a response has been made to the disclosure request, etc., after which they will be discarded.